PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 75450991 |
REGISTRATION NUMBER | 2216553 |
LAW OFFICE ASSIGNED | LAW OFFICE 101 |
MARK SECTION | |
MARK | SILVER SPRING |
ATTORNEY SECTION | |
ORIGINAL ADDRESS | ANTHONY J. BOURGET PO BOX 81 EAU CLAIRE, WI 54702-0081 |
CORRESPONDENCE SECTION | |
ORIGINAL ADDRESS | ANTHONY J. BOURGET PO BOX 81 EAU CLAIRE, WI 54702-0081 |
NEW ATTORNEY ADDRESS | |
STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney: |
NAME | Anthony J. Bourget |
FIRM NAME | bourgetlaw.com |
STREET | P.O. Box 81 |
CITY | Eau Claire |
STATE | Wisconsin |
COUNTRY | United States |
POSTAL/ZIP CODE | 54702-0081 |
PHONE | 715-835-5232 |
FAX | 715-835-9890 |
abourget@bourgetlaw.com | |
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
NEW CORRESPONDENCE ADDRESS | |
NAME | Anthony J. Bourget |
FIRM NAME | bourgetlaw.com |
STREET | P.O. Box 81 |
CITY | Eau Claire |
STATE | Wisconsin |
COUNTRY | United States |
POSTAL/ZIP CODE | 54702-0081 |
PHONE | 715-835-5232 |
FAX | 715-835-9890 |
abourget@bourgetlaw.com | |
AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
SIGNATURE SECTION | |
SIGNATURE | /edward h. schaefer/ |
SIGNATORY NAME | Ed Schaefer |
SIGNATORY DATE | 09/21/2006 |
SIGNATORY POSITION | President |
FILING INFORMATION SECTION | |
SUBMIT DATE | Thu Sep 21 17:40:57 EDT 2006 |
TEAS STAMP | USPTO/RAA-XX.XXX.XXX.XXX- 20060921174057210094-7622 7074-350152a9ec2f29d1e822 ed576cfcbe552-N/A-N/A-200 60921160608398890 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |